RETINA CONSULTANTS SAN DIEGO INC
NPI 1790736098
Ophthalmology in Poway, CA

NPI Status: Active since May 12, 2006

Contact Information

12630 MONTE VISTA RD
SUITE 104
POWAY, CA
ZIP 92064
Phone: (858) 451-1911
Fax: (858) 451-0566

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  • Organization
  • Ophthalmology
  • CLIA Number: 05D2091515
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-12-2027

About RETINA CONSULTANTS SAN DIEGO INC

This page provides the complete NPI Profile along with additional information for Retina Consultants San Diego Inc, a provider established in Poway, California operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1790736098 assigned on May 2006. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Retina Consultants San Diego Inc. The authorized official of this NPI record is Jocelin Ing (Practice Administrator)

NPI
1790736098
Provider Legal Name
RETINA CONSULTANTS SAN DIEGO INC
Other Organization Name
RETINA CONSULTANTS SAN DIEGO INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12630 MONTE VISTA RD SUITE 104 POWAY, CA 92064
Location Phone
(858) 451-1911
Location Fax
(858) 451-0566
Mailing Address
12630 MONTE VISTA RD SUITE 104 POWAY, CA 92064
Mailing Phone
(858) 451-1911
Mailing Fax
(858) 451-0566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2006
Last Update Date
02-06-2024
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Ophthalmologists like Retina Consultants San Diego Inc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOCELIN ING

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(858) 500-7815

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DA1466OTHER (01)CAMEDICARE RAILROAD
GR0045281MEDICAID (05)CA 
ZZZ30299ZOTHER (01)CABLUE SHIELD

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2091515
Facility Type
Physician Office
Certificate Effective Date
February 13, 2025
Certificate Expiration Date
February 12, 2027
Laboratory Director
ATUL K. JAIN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Retina Consultants San Diego Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790736098
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718014312018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 3 + 1 + 2 + 0 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1790736098 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720038458 LON SCOTT POLINER M.D.
Individual
Ophthalmology12630 MONTE VISTA RD SUITE #104
POWAY, CA 92064
(858) 451-1911
1265483085DR. CYNTHIA ANN ROBERTSON MD
Individual
Internal Medicine12630 MONTE VISTA RD SUITE 209
POWAY, CA 92064
(858) 485-7648
1477595189DR. ASHISH KUMAR WADHWA MD
Individual
Otolaryngology12630 MONTE VISTA RD SUITE 206
POWAY, CA 92064
(858) 674-1165
1477599298DR. ROBERT W BARR MD
Individual
Pediatrics12630 MONTE VISTA RD 109
POWAY, CA 92064
(858) 673-9270
1154330496MRS. MARY PATRICIA HALL PT
Individual
Physical Therapist12630 MONTE VISTA RD STE. 204
POWAY, CA 92064
(858) 485-7103
1902916349DR. MERTON CHIKAO SUZUKI M.D.
Individual
Plastic Surgery12630 MONTE VISTA RD SUITE 108
POWAY, CA 92064
(858) 487-6860
1285793125VRIJESH S TANTUWAYA, MD, INC
Organization
Neurological Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 312-5016
1497968887 JODI K. WOJCIK AU. D.
Individual
Audiologist12630 MONTE VISTA RD #206
POWAY, CA 92064
(858) 674-1165
1396950820 CASSONDRA PAMELA GRAFF LCSW
Individual
Social Worker (Clinical)12630 MONTE VISTA RD SUITE 202
POWAY, CA 92064
(858) 484-3602
1447467212MS. JAYMA E KIM M.F.T.
Individual
Marriage & Family Therapist12630 MONTE VISTA RD SUITE 202
POWAY, CA 92064
(858) 675-2223
1972749372MERTON SUZUKI MD INC
Organization
Clinic/Center (Ambulatory Surgical)12630 MONTE VISTA RD SUITE 108
POWAY, CA 92064
(858) 487-6860
1700119880 HELENA JAYASURIYA L.C.S.W.
Individual
Social Worker (Clinical)12630 MONTE VISTA RD SUITE 202
POWAY, CA 92064
(858) 675-9492
1982991337CONSENSUS MD INC
Organization
Neurological Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 312-5016
1821371683FOR DOCTORS CONSULTING GROUP
Organization
Durable Medical Equipment & Medical Supplies12630 MONTE VISTA RD SUITE 210
POWAY, CA 92064
(858) 312-1327
1033293840DR. JAMES FRANCIS MARINO M.D.
Individual
Orthopaedic Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 487-6440
1235134966DR. VRIJESH SHANTANU TANTUWAYA MD
Individual
Neurological Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 312-5016
1477606440DR. MONIQUE MASSE M.D.
Individual
Psychiatry & Neurology (Psychiatry)12630 MONTE VISTA RD SUITE 202
POWAY, CA 92064
(858) 485-9102
1205149804HANGER PROSTHETICS & ORTHOTICS WEST, INC.
Organization
Prosthetic/Orthotic Supplier12630 MONTE VISTA RD STE 101
POWAY, CA 92064
(858) 485-1620
1467625210JAMES F MARINO M D INC
Organization
Orthopaedic Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 487-6440
1750521241JILL COTTEL MD, IN.
Organization
Non-Pharmacy Dispensing Site12630 MONTE VISTA RD 209
POWAY, CA 92064
(858) 312-1672

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790736098, enumerated in the NPI registry as an "organization" on May 12, 2006

The provider is located at 12630 Monte Vista Rd Suite 104 Poway, Ca 92064 and the phone number is (858) 451-1911

This medical organization specializes in Ophthalmology with taxonomy code 207W00000X

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D2091515 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.